Active NPI
Yelena Tumasyan, P.A.
- Physician Assistant
- Pasadena, CA
National Provider Identifier
1427592476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 53709
- Practice address
- 2595 E Washington Blvd Ste 106
Pasadena, CA 91107-1409 - Phone
- (310) 878-0964
- NPI assigned
- Dec 9, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 53709 | CA | Primary |
Addresses
Primary practice location
2595 E Washington Blvd Ste 106
Pasadena, CA 91107-1409
Mailing address
4252 Fair Ave Unit 11
North Hollywood, CA 91602-3069
Phone (516) 603-1047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020095 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Care Community Health Center, Inc | Current | Accepting new patients | |
| Complete Care Community Health Center, Inc | Current | Accepting new patients | |
| Carbon Health Primary Care of California PC | Past | Accepting new patients |
Locations
2928 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 266-6700
3000 S Robertson Blvd
Ste 280
Los Angeles, CA 90034
2595 E Washington Blvd
Ste 106
Pasadena, CA 91107
Phone (626) 794-8133
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- yelena.tumasyan.p1@direct.ccchcenter.nextgenshare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- PACE Provider Organization
- Los Angeles, CA
- NPI 1215113964
-
- Federally Qualified Health Center (FQHC)
- Visalia, CA
- NPI 1316729403
-
- PACE Provider Organization
- South Gate, CA
- NPI 1811397888
-
- Multi-Specialty Clinic/Center
- Berkeley, CA
- NPI 1972057990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1427592476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4252 FAIR AVE UNIT 11",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916023069",
"telephone_number": "516-603-1047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2595 E WASHINGTON BLVD STE 106",
"city": "PASADENA",
"state": "CA",
"postal_code": "911071409",
"telephone_number": "310-878-0964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUMASYAN",
"first_name": "YELENA",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-09",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "53709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.